I have seen about ten of your videos continuously today and have enjoyed them equally. Nobody taught me like this. I hope, i wont puncture the lower wall of a vein at least after this video. thank you sir.
@aircavmedic2 жыл бұрын
Went to 1 year school to be IV nurse. Everything from 16ga, to 30ga scalp needles. I always kept traction on skin, lowered angle after direct or indirect approach. I rarely used saline. But outstanding videos. However you accomplish, if on long term therapy, I always started distally and worked proximal. Warm regards
@Marcyang2 жыл бұрын
Very cool trick. I think it has to do with reducing the surface tension of the blood rather than anything to do with pressures.
@aircavmedic2 жыл бұрын
You covered it all, the physics behind it. It is so important, no matter how you get in the vein, that you have checked as you did so well, especially if one is pushing anything (chemotherapy) or other caustic agents. Outstanding explanation.
@ArranRWilliamson2 жыл бұрын
About to go to work, next cannula is on me! Can't wait to try this out
@ravenchua37682 жыл бұрын
Do you have any tips on how to palpate veins better?(Apart from elevating the bed, lowering the arm, applying tourniquet to the right pressure, tapping the veins, swabbing alcohol on the veins, warming the veins?) Are there any ways to predict how veins would run in the cubital fossa i.e any consistent anatomy that would always be there so i can better direct my tactile perception focus towards those specific areas instead of sweeping the entire area hoping theres an easy vein i can palpate? Thank you for your videos!
@fhb19972 жыл бұрын
🤯🤯🤯 unreal! Whoever came up with this is a genius
@ABCsofAnaesthesia2 жыл бұрын
Absolutely!
@villegasrincon47112 жыл бұрын
Hey man all your videos have been really helpful. Can you also show us some techniques on finding difficult veins ?
@jimjab36312 жыл бұрын
US is the future.
@dianekerr94352 жыл бұрын
I am an infusion RN so this was great. Cant wait to try it.
@ABCsofAnaesthesia2 жыл бұрын
Great! And try it a few times to get used to it :)
@krassenna2 жыл бұрын
Brilliant idea, thank you very much! You are a genius!!!
@ABCsofAnaesthesia2 жыл бұрын
Haha i wish i could take credit, this skills is passed on from week 1 on paeds rotations
@Hoepotheis2 жыл бұрын
Very helpful. Had a tough one today that this would've helped with.
@emmabae44262 жыл бұрын
Very informative... thank you so much....
@michalberesmidwife2 жыл бұрын
Great tip. I'll use it tonight. Thank you
@derekm99342 жыл бұрын
Never heard of this very cool!! I will have to try at some point!
@joschtuegs25622 жыл бұрын
Would have been nice to have seen this video yesterday 😂😂 had some pretty darn difficult veins on a patient today, would have been helpful to know this before
@priyabr17 Жыл бұрын
You made my day 💕
@kaouthar962 жыл бұрын
Thank you, I'm so trying it out 😁❤
@josephinetong80692 жыл бұрын
Could you explain why the IV catheter cannot advance into vein even the flashback is seen in IV cannula chamber? Can you provide some real cases with unsuccessful IV insertion and explain the reason of failure?
@nigelgregory599610 ай бұрын
This usually happens when you hit a valve causing no advance into the vein.
@doctorjo5947 Жыл бұрын
Thanks
@fsdx4169 ай бұрын
Not sure what's happening. This method used to work so well. But recently i dont get any flash back at all with saline, despite being in the vein. I know im safely i vein because when i try retracting the needle, blood rushes into the tube and i could advance it smoothly despite not gutting flashback. But it's a gamble. Could it be because the surface tension of the saline created an obstructing film preventing blood from entering?
@SandraMcRitchie2 жыл бұрын
Thankyou
@NightNurseMike2 жыл бұрын
I wish I could try this but our needles don’t have caps like that
@shigs21arl Жыл бұрын
Can i still collect blood if there is saline in plug?
@tonytan59452 жыл бұрын
Thank you for all your tips. Do you know if these tricks can be used with the newer needle auto retraction safety jelcos? If so, would really appreciate a video on these safety jelcos, they are less friendly to cannulating difficult veins.
@gabrielleandrew542 Жыл бұрын
That’s what I think Tony Tan I only use these for easier cannulation
@helpyhelpertonn10 ай бұрын
Would this work for closed IV catheters?
@ABCsofAnaesthesia10 ай бұрын
Hey! It wont work if you cant access the chamber, so prob not for all cannula types
@iluvprawns2 жыл бұрын
Can this be done with BD insyte autoguard? AFAIK we only have the type you are using in an 18g, and I'm not keen on using an 18g on tiny spindly veins...
@ABCsofAnaesthesia2 жыл бұрын
hey! i had a look at the product vid and it doesnt look like you can get back access to the chamber... so probably not... but if there was a way to open the chamber, it would be possible
@iluvprawns2 жыл бұрын
@@ABCsofAnaesthesia I might have to have a play around and see. Thanls for checking it out!
@iluvprawns2 жыл бұрын
Just to update, I've sent you a message and video on Facebook.
@jimjab36312 жыл бұрын
Nice trick, nurses will still screw it up.
@aircavmedic2 жыл бұрын
Nice video. I did go to 1 year extra school for IV Nurse. As you know lowering angle after entering vein is very important. My technique was never losing traction on skin until I threaded “ butterflies, all types of and sizes of catheters(16-30ga), including long intracaths, As you stated pressure is important. I had someone arrest just as I was entering skin( vein collapsed) I got lucky. I rarely used ACF, unless short term need. Start distally as you know work proximal. Thank you for allowing me to share.
@Mus-Doc2 жыл бұрын
Thanks
@rohanmostert49752 жыл бұрын
I've actually been using this tip for about 10 years, but never understood why it works.
@anthonypetrillo8412 жыл бұрын
This is a great technique! I wish we had these catheters instead of the fancy spring-loaded safety ones.
@ABCsofAnaesthesia2 жыл бұрын
True! The fancier the equipment becomes, the less we get to modify 😭
@dianekerr94352 жыл бұрын
@@ABCsofAnaesthesia it was a ton easier years ago w/o the safety devices. We all had latex powdered gloves too (fit better), but then you could always tell who didn't wash their hands. Yuck.
@mbracken82312 жыл бұрын
Hi. Thanks for all the great instruction videos. Could you do a video on how to locate appropriate vein for IV cannulation. Keep up ghe great work. Thanks
@raidohakuba2 жыл бұрын
Very instructive, thank you very much 😊
@fabiothebest89lu2 жыл бұрын
Thanks, I hope I remember this tip when I’ll have a more difficult case. I’m experimenting with more difficult veins
@jingyun43232 жыл бұрын
Thank you so much! I've never been taught this before and I will definitely try this. Also, do you have any tips for cannulating an elderly patient with oedema? Thank you!
@ozzya99772 жыл бұрын
Milk out the oedema first with you hand, unmasks the vein.
@amandabass042 жыл бұрын
try doubling torniwuet
@jingyun43232 жыл бұрын
Thanks for the tips guys
@aircavmedic2 жыл бұрын
As a former IV RN, for edema, as stated, I would gently push( like checking on shin for peripheral edema) the edema OUT of way if possible, palpate wherever needle is being placed. I preferred cephalic vein, natural split, or some hidden like basilic vein, standing behind patient. Just some thoughts. Excellent video
@deedopix2 жыл бұрын
Thank you so much for your brilliant commentary
@romanbullet30362 жыл бұрын
Great video, I look forward to trying this out, thanks!
@kit_underline2 жыл бұрын
Thank you, very helpful!
@RooseveltAliWashingtonX10 ай бұрын
Oh wow, thanks!!!!
@Bishbash932 жыл бұрын
Will definitely have to give this a try. Do you think this technique can still be used if cannulating whilst also trying to take bloods? By this, I mean, inserting the cannula into vein, removing the needle, plugging a vacutainer on the end and taking your bloods/VBGs, then flushing/dressing the cannula. I don't know how much of an impact that little bit of saline mixed with blood (vs purely being blood) within the cannula's plastic catheter would affect the haematology/biochemistry of the blood samples
@amandabass042 жыл бұрын
can we get bloods when we cannulate
@amandabass042 жыл бұрын
they said not to get bloods from iv cannula
@Bishbash932 жыл бұрын
@@amandabass04 On first insertion but before you flush it or cap it off, you can take bloods. After that, no because the blood sample would be contaminated with saline flush or be stagnant blood within the now established cannula. Hence why I asked my question because pre-flushing the cannula would leave some saline inside it and, I imagine, contaminate any blood sample taken via vacutainer/bottles.
@anthonypetrillo8412 жыл бұрын
You can just waste an mL or two of blood in a syringe before you fill your tubes. Then you know the saline won’t be in there.
@SpudOfDoom8 ай бұрын
This will dilute or contaminate your sample, so shouldn't be used if you're collecting blood while inserting the cannula. You might be able to get away with it for something like a blood bank group & screen where dilution isn't such an issue.
@maximilianfischer5375 Жыл бұрын
🙏🙏🙏
@MN-li1jy2 жыл бұрын
Very nice. Do you have any tips for radial artery cannulation for invasive blood pressure monitoring? Thanks
@ABCsofAnaesthesia2 жыл бұрын
Still waiting on approval to make this one 😅
@hassanstormie36122 жыл бұрын
Please what's the explanation for the fast flashback when NS is put in the cannula?
@ABCsofAnaesthesia2 жыл бұрын
Mainly lack of surface tension.. and diffusion between fluids…
@vashkarkhan3012 жыл бұрын
Thanks for this amazing explanatory video... loved it
@ABCsofAnaesthesia2 жыл бұрын
You’re welcome!
@dagobah1974 Жыл бұрын
Thank you for your videos. I have a question. What do you think about leaving the saline attached to the needle, or even better, using an extension line for commodity. I would help with those IVs with valves. As you push the saline to open the valve, you can advance the needle to pass it through. What will be your input? Thank you so much.
@ChurroWaffles2 жыл бұрын
How would you do this with BD Injects?
@TheGuerrero6122 жыл бұрын
My mind has been blown up.🤯🤯 No wonder i can't see an immediate flashback in small or difficult veins, and it's because of he low pressure. I'll consider this technique with my supervisor.
@raizero_82 жыл бұрын
Thanks for the great tip. I used to rinse the blood from the chamber with saline but I always drain it right away before re-attempting to cannulate a different vein. I'll try this out.
@hzxswyg2 жыл бұрын
This is really helpful
@ABCsofAnaesthesia2 жыл бұрын
Great to hear :)
@pedroneely97912 жыл бұрын
OMG!!! THank you very much for this superb pro tip!!! Physics makes sense and internship should be a breeze now! :)
@miriampasag66022 жыл бұрын
Quite informative. Thank you.
@pohbc2 жыл бұрын
Thank you for this technique. Today I learned something new. Does this technique work for arterial line cannulation as well? Especially in difficult babies and neonates?
@ABCsofAnaesthesia2 жыл бұрын
It might! Try it and see :) Generally arterial pressure is high but who knows, it might give a quicker flashback